Taking Community Action Against Pain

采取社区行动对抗疼痛

• 批准号: 7387063
• 负责人: Manney Carrington Reid
• 金额: $ 27.07万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-07 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7387063
• 关键词: Address; Adherence; Adoption; Adult; African American; Aging; American; Applied Research; Arthritis; Caring; Cities; Client; Communities; Community Actions; Data; Development; Disease; Effectiveness; Elderly; Ensure; Ethnic Origin; Evidence based treatment; Foundations; Funding; Health; Hispanic Americans; Hispanics; Individual; Information Resources; Institutes; Knowledge; Life; Methods; Modification; Morbidity - disease rate; New York City; Not Hispanic or Latino; Outcome; Pain; Pain management; Participant; Personal Satisfaction; Phase; Population; Process; Protocols documentation; Publications; Race; Range; Recommendation; Reporting; Research Personnel; Resources; Self Management; Services; Site; Standards of Weights and Measures; Testing; Translational Research; Translations; Work; age group; aged; base; caucasian American; chronic pain; community based participatory research; community organizations; cysteine rich protein; design; improved; intervention program; member; programs; response; satisfaction; self help

DESCRIPTION (provided by applicant): The proposed project, entitled Taking Community Action Against Pain, addresses the problem of chronic pain (CP) in older persons, which is a highly prevalent, morbid, and costly disorder that is associated with a substantial burden of suffering in this age group. Evidence-based treatments for CP in the form of self- management programs have been developed for use in the community and have demonstrated efficacy, but have not been widely disseminated. Numerous barriers likely exist at the individual, program, and cultural level that have a negative impact on program translation efforts and are in need of characterization. The development of strategies to overcome the barriers is necessary to improve both program reach and program benefits. Using community based participatory research (CBPR), this application seeks to answer the following scientific questions: 1) What are the major barriers to adoption of and adherence to a pain-reduction protocol by seniors with CP?; 2) How can an evidence-based pain protocol be adapted using CBPR to better meet the needs of seniors from three distinct race/ethnicity groups including African American, Hispanic American, and non-Hispanic White Americans?; and 3) What is the effect of using a CBPR-based program versus a conventional CP program on the effectiveness of the pain protocol? The following aims are proposed to address the above questions: 1) Expand and maintain existing community-researcher partnerships, 2) Access local knowledge and resources to design optimal methods for program implementation and possible adaptation; 3) Synthesize findings from these activities to generate pain programs for our senior center partners; 4) Pilot test the new programs; and 5) Compare CBPR program outcomes to those generated via the conventional pain program, i.e., `usual care', and 6) Disseminate project findings and related products. Anticipated products of this project include: 1) Pilot data for use in a subsequent R01 application; 2) New programs are anticipated to emerge as a result of accessing the collective resources and knowledge of our community partners; 3) Knowledge regarding the effects of using CBPR versus `usual care' on the effectiveness of a pain intervention program; and 4) Publication of scholarly articles and reports tailored to a wide range of practitioners. The project will take place in culturally diverse senior centers located throughout New York City, which is appropriate given that 10 million older adults (up to 50% of whom have CP) currently use services provided by over 15,000 senior centers in the U.S. The planned work has significant potential to reduce the substantial morbidity and suffering associated with CP among seniors. This project seeks to improve the health and well being of older adults with chronic pain due to arthritis and/or arthritis-related diseases. The project will develop and test culturally sensitive pain-management programs for use in the community by adults aged 65 and above who belong to one of 3 race/ethnicity groups: African Americans, Hispanic Americans, and non-Hispanic White Americans. To ensure cultural relevance of the programs, the investigators have proposed to partner with diverse community groups to include older adults with chronic pain as well as staff from centers that will ultimately host the programs (e.g., senior centers).

描述（由申请人提供）：拟议的项目名为“采取社区行动对抗疼痛”，旨在解决老年人的慢性疼痛（CP）问题，这是一种非常普遍、病态且代价高昂的疾病，与该年龄段的巨大痛苦负担相关。自我管理计划形式的脑瘫循证治疗方法已在社区中使用并已证明有效，但尚未广泛传播。个人、程序和文化层面可能存在许多障碍，这些障碍对程序翻译工作产生负面影响，需要进行表征。制定克服障碍的战略对于提高计划范围和计划效益是必要的。该应用程序利用基于社区的参与性研究 (CBPR)，旨在回答以下科学问题：1) 患有脑瘫的老年人采用和遵守减轻疼痛方案的主要障碍是什么？ 2) 如何使用 CBPR 调整基于证据的疼痛方案，以更好地满足来自三个不同种族/民族群体（包括非洲裔美国人、西班牙裔美国人和非西班牙裔美国白人）的老年人的需求？ 3) 与传统的 CP 计划相比，使用基于 CBPR 的计划对疼痛方案的有效性有何影响？为解决上述问题，提出以下目标： 1) 扩大和维持现有的社区-研究人员伙伴关系， 2) 获取当地知识和资源，设计计划实施和可能的适应的最佳方法； 3) 综合这些活动的结果，为我们的高级中心合作伙伴制定疼痛计划； 4）新方案的试点； 5) 将 CBPR 计划的结果与通过传统疼痛计划（即“常规护理”）产生的结果进行比较，以及 6) 传播项目结果和相关产品。该项目的预期产品包括： 1）用于后续R01应用的试点数据； 2) 通过获取我们社区合作伙伴的集体资源和知识，预计将出现新的计划； 3) 了解使用 CBPR 与“常规护理”对疼痛干预计划有效性的影响； 4) 出版适合广大从业者的学术文章和报告。该项目将在纽约市各地文化多元化的老年中心进行，考虑到目前有 1000 万老年人（其中高达 50% 患有脑瘫）目前使用美国 15,000 多个老年中心提供的服务，这一计划是合适的。计划中的工作对于减少老年人中与脑瘫相关的发病率和痛苦具有巨大的潜力。 该项目旨在改善因关节炎和/或关节炎相关疾病而患有慢性疼痛的老年人的健康和福祉。该项目将开发和测试文化敏感的疼痛管理计划，供属于 3 个种族/族裔群体之一的 65 岁及以上成年人在社区中使用：非裔美国人、西班牙裔美国人和非西班牙裔美国白人。为了确保这些项目的文化相关性，研究人员建议与不同的社区团体合作，包括患有慢性疼痛的老年人以及最终主办这些项目的中心（例如老年中心）的工作人员。